A5011067937- Esophageal and GI Pathology
- Pancreatic and Hepatic Oncology Research
- Gallbladder and Bile Duct Disorders
- Pancreatitis Pathology and Treatment
- Liver Disease Diagnosis and Treatment
- Gastric Cancer Management and Outcomes
- Biliary and Gastrointestinal Fistulas
- Gastrointestinal disorders and treatments
- Bariatric Surgery and Outcomes
- Gastroesophageal reflux and treatments
- Hepatocellular Carcinoma Treatment and Prognosis
- Tracheal and airway disorders
- Liver Disease and Transplantation
- Pediatric Hepatobiliary Diseases and Treatments
- Dysphagia Assessment and Management
- Esophageal Cancer Research and Treatment
- Metastasis and carcinoma case studies
- Appendicitis Diagnosis and Management
- Abdominal Trauma and Injuries
- Helicobacter pylori-related gastroenterology studies
- Colorectal Cancer Screening and Detection
- Eosinophilic Esophagitis
- Gastrointestinal Tumor Research and Treatment
- Amoebic Infections and Treatments
- Body Contouring and Surgery
Borland Groover Clinic
2015-2024
University of Central Florida
2023
Baptist Medical Center Jacksonville
2017-2022
Universidad Nacional Experimental Politécnica "Antonio José de Sucre"
2022
VA Greater Los Angeles Healthcare System
2002-2020
University of Missouri Health System
2020
Thomas Jefferson University Hospital
2018
Thomas Jefferson University
2017-2018
University of Utah Hospital
2018
California Pacific Medical Center
2018
Background and study aims EUS-guided gastroenterostomy (EUS-GE) is a novel procedure that potentially offers long-lasting luminal patency without the risk of tumor ingrowth/overgrowth. This compared clinical success, technical adverse events (AEs), length hospital stay (LOHS) symptom recurrence in EUS-GE versus SGJ. Methods was multicenter international retrospective comparative SGJ patients with malignant gastric outlet obstruction (GOO) who underwent either or performed using lumen...
Endoscopic ultrasound-guided gastrojejunostomy (EUS-GJ) with placement of a lumen-apposing metal stent is minimally invasive and efficacious procedure for gastric outlet obstruction (GOO) patients not amenable to surgery. Laparoscopic (Lap-GJ) has traditionally been the standard care. No direct comparison between EUS-GJ Lap-GJ described. Our aim was compare clinical outcomes, success rate, adverse events (AE) Lap-GJ.Patients GOO from 4 academic centers in 3 countries were included. Technical...
Endoscopic ultrasound-guided drainage (EUS-GLB) is a minimally invasive option for patients with cholecystitis who are poor surgical candidates. Compared percutaneous (PC-GLB), earlier studies have demonstrated similar efficacy improved quality of life. We present multicenter, international experience comparing PC-GLB and EUS-GLB in nonsurgical cholecystitis.All underwent either or from 7 centers between January 2010 December 2015 were included. Technical success was defined as successful...
Background and Aims: The standard of care for managing pancreaticobiliary disease in altered Roux-en-Y gastric bypass patients is laparoscopy-assisted endoscopic retrograde cholangiopancreatography (LA-ERCP), but limited by cost adverse events. Recently a minimally invasive, completely approach using ultrasound (EUS) directed transgastric ERCP (EDGE) has been described. We aim to compare EDGE LA-ERCP this study. Methods: Patients from May 2005 June 2017 with anatomy having undergone or at 4...
Performing endoscopic retrograde cholangiopancreatography (ERCP) in patients who have undergone Rouxen-Y gastric bypass (RYGB) is challenging. Standard ERCP and enteroscopy-assisted are associated with limited success rates. Laparoscopy- or laparotomy-assisted yields improved efficacy rates, but higher complication rates costs. We present the first multicenter experience regarding safety of ultrasound (EUS)-directed transgastric (EDGE) EUS.All underwent EDGE at two academic centers were...
Endoscopic ultrasound-guided gastroenterostomy (EUS-GE) in malignant gastric outlet obstruction (GOO) appears to be promising; however, its role benign GOO is unclear. The aim of this study was ascertain the clinical efficacy and safety EUS-GE GOO.This an international retrospective series involving 5 tertiary centers. Consecutive patients who underwent between 1/2013 - 10/2016 for were included. primary endpoint rate success defined as ability tolerate oral intake without vomiting....
Background and study aims The use of lumen apposing metal stents (LAMS) during EUS-guided transmural drainage (EUS-TD) pancreatic walled-off necrosis (WON) has gained popularity. Data supporting their in WON over plastic (PS), however, remain scarce. aim this was to compare the clinical efficacy LAMS (Axios, Boston Scientific) with PS WON. Patients methods This a multicenter, retrospective involving 14 centers. Consecutive patients who underwent EUS-TD (2012 - 2016) were included. primary...
<b>Background and aims:</b> The ability to safely effectively obtain sufficient tissue for pathologic evaluation by using endoscopic ultrasound (EUS) guidance remains a challenge. Novel designs in EUS needles may provide improved such core biopsies. aim of this study was evaluate the diagnostic yield biopsy specimens obtained novel needle specifically designed <b>Patients methods:</b> Multicenter retrospective review all EUS-guided fine-needle biopsies (SharkCore FNB needle, Medtronic,...
Background and study aims Z-POEM is now an established therapy for symptomatic Zenker's diverticulum (ZD). Short-term follow-up of up to 1-year post suggests excellent efficacy safety; however, long-term outcomes are not known. Thus, we sought report on longer-term (≥ 2 years) following treatment ZD. Patients methods This was International multicenter retrospective at eight institutions across North America, Europe, Asia over a 5-year period (from December 3, 2015 March 13, 2020) patients...
Although NF-kappaB plays an important role in pancreatitis, mechanisms underlying its activation remain unclear. We investigated the signaling pathways mediating pancreatic acinar cells induced by high-dose cholecystokinin-8 (CCK-8), which causes pancreatitis rodent models, and TNF-alpha, contributes to inflammatory responses of especially PKC isoforms. determined subcellular distribution kinase activities isoforms dispersed rat acini. applied isoform-specific, cell-permeable peptide...
Abstract Background and aims Endoscopic retrograde cholangiopancreatography (ERCP) in patients who have undergone Roux-en-Y gastric bypass (RYGB) is technically challenging. We describe our multicenter experience using lumen-apposing metal stents (LAMSs) to create an endoscopic ultrasound-guided transgastric fistula (EUS-TG) facilitate peroral ERCP these patients. Patients methods Thirteen with RYGB underwent EUS-TG at three tertiary centers were included. EUS was used guide puncture of the...
Background and Objectives: EUS-guided drainage, direct endoscopic necrosectomy (DEN) of walled-off necrosis (WON) using a lumen-apposing metal stent (LAMS) is safe effective. Early debridement WON may improve overall clinical outcomes. The aim this study to perform multicenter retrospective compare the outcomes predictors success for drainage with LAMS followed by immediate or delayed DEN performed at standard intervals. Methods: Patients managed were divided into 2 groups: (1) those that...